Organization · Type 2 NPI

Dva Healthcare Renal Care, Inc.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tallahassee, FL

NPI number 1265400501 Active

Practice location

1607 Physicians Dr
Tallahassee, FL 32308-4620

Call (850) 878-8776 Map

Fax (850) 878-9004

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1265400501
Entity type: Organization (Type 2)
Issued: Mar 11, 2006
Last updated: Nov 17, 2025
Status: Active

Other names

<unavail>
Tallahassee Dialysis · doing business as
Tallahassee Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265400501

Dva Healthcare Renal Care, Inc.'s National Provider Identifier is 1265400501, issued on Mar 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tallahassee, FL. The record was last updated on Nov 17, 2025.